Cultura

Comparative Study In Two Communities Of Antioquia Based On The Reconstruction Of The Social Fabric

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Alex Nilson Meneses Oquendo, Leonardo Rodas Rodríguez, Andrés Gonzalo Restrepo Giraldo, Diana María Giraldo Hincapié, Sebastián Molina Martínez, Adriana María Ruiz Restrepo, Juan Paulo Marín Castaño

Abstract

The comparative analysis presented here stems from the synergy, coherence, and cohesion found in research on the reconstruction of the social fabric through physical activity, sport, and recreation in Vallejuelos and the Reposo district. These studies were conducted using a mixed-method approach using the Research Action Participation methodology. The results jointly demonstrated the importance of movement for social consolidation, teamwork, and leadership as a social articulation element. In both regions, the need for sports venues, the training of stakeholders, and the lack of public policies in the established areas of physical activity, recreation, and sport were evident.

The objective of the comparative study was focused on highlighting the differences and similarities in social interaction and how the three pillars of physical activity, recreation, and sport enable processes of social fabric and to inform the approach to interventions in the target populations.

Methodologically, a comparative study based on the Meta-synthesis technique was used, with an approach that integrates qualitative results, to achieve deep and meaningful understandings expressed by the communities of Reposo and Vallejuelos, recognizing collective voices and experiences that transcend the academic, as well as the challenges and commitments to social and community transformation.

The results are presented in three sections: the findings and significant manifestations in the community of Vallejuelos, the findings and definition of categories in the community of the Reposo district, and a comparison of the findings of the components of physical activity, recreation, and sport in each of the territories studied.

Keywords : Sport, Physical Activity, Recreation, Reconstruction, Social Fabric.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty